Donald R Kelly in Fort Collins - Physician Assistant

Donald R Kelly - NPI 1942269873

Donald R Kelly is a Physician Assistant in Fort Collins, Colorado. Donald R Kelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Donald R Kelly is 1942269873. The last update date is 2014-12-26.

Donald R Kelly's current location address is 2121 E Harmony Rd, Fort Collins, Colorado. You can contact this provider via phone number 9702215878 and fax number 9702213564. The mailing address for Donald R Kelly is 2121 E Harmony Rd, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald R Kelly
Address 2121 E Harmony Rd, Fort Collins, Colorado
Phone Number 9702215878
Fax Number 9702213564
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1942269873
Provider Enumeration Date 2006-03-20
Last Updated Date 2014-12-26

Provider Mailing Address Detail

Address 2121 E Harmony Rd
City Fort Collins
State Colorado (CO)
Post Code 805283400
Phone Number 9702215878
Fax Number 9702213564

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA.0000747
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7007479 CO --
P01052988 CO RR MEDICARE

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FAQs about Donald R Kelly

What is the unique 10-digit identification code issued to Donald R Kelly by the Centers for Medicare & Medicaid Services?

The Donald R Kelly has been assigned the NPI (National Provider Identifier) 1942269873 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Donald R Kelly's facilities are situated?

The facilities of Donald R Kelly are physically located at the following address: 2121 E Harmony Rd, Fort Collins, CO, 805283400.

What is Donald R Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?

The Donald R Kelly's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1942269873 to Donald R Kelly?

The Donald R Kelly received its 1942269873 assignment from the Centers for Medicare & Medicaid Services on 2006-03-20.

As of what date was the information pertaining to Donald R Kelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Donald R Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-12-26.

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